NGN HESI PEDIATRIC PROCTORED EXAM 2020 WITH VERIFIED SOLUTIONS/A+ GRADE

1. The nurse is planning care for a 5 - month-old with gastroesophageal reflux disease whose weight has decreased by 3 ounces since the last clinic visit one month ago. To increase caloric intake and decrease vomiting, what instruction should the nurse provide this mother? •Dilute the child's formula with equal parts of water •Offer 10% dextrose in water between most feeding •Give small amounts of baby food with each feeding •Thicken formula with cereal for each feeding 2. A 4-years-old boy was recently diagnosed with Duchenne muscular dystrophy (DMD). Which characteristic of the disease is most important for the nurse to focus on during the initial teaching? •Muscular strength can be regained with physical exercise and therapy •Growth and development have been abnormal since birth •Respiratory dysfunction and aspiration are prime concerns at this stage of the disease •Lower legs become progressively weaker, causing a wedding, unsteady gait 3. In caring for an client with acute epiglottitis, which nursing action takes priority? •Obtain a stat CBC •Prepare for endotracheal intubation •Auscultate breath sounds •Apply ice packs to the neck 4. Which client requires immediate intervention by the nurse? •A toddler with chickenpox who is scratching •An adolescent with a migraine and photophobia •A child with cystic fibrosis who is constipated •A Child with acute renal failure and hyperkalemia 5. The nurse is conducting an admission assessment of an 11-months old infant with congestive heart failure who is scheduled repair of restenosis of coarctation of the aorta that was repaired 4 days after birth. Findings include blood pressure higher in the arms than the lower, with pathophysiologic mechanism support these findings? •The aortic semi lunar valve obstructs blood flow into the systemic circulation •An opening in the atrial septum causes a murmur due to a turbulent left to right shunt •The lumen of the aorta reduces the volume of flow to the lower extremities •The pulmonic valve prevents adequate blood volume 6. A child is to receive vancomycin (Vancocin) 20 mg/kg IV one hour before a scheduled procedure. The child weight 77 pounds. How many mg of the medication should the nurse prepare to administer? (Enter numeric value only) 700 mg NGN HESI PEDIATRIC PROCTORED EXAM 2020 WITH VERIFIED SOLUTIONS/A+ GRADE 7. A toddler with hemophilia is being discharged from the hospital. Which teaching should the nurse include in the discharge instructions to the mother? • Apply padding on the sharp corners of the furniture • Prevent the child from running inside the house • Give an 81 mg tablet of aspirin for pain relief • Use a soft toothbrush for frequent cleaning 8. The nurse is using the Stage Questionnaire (b) to assess a 24 - month-old child. What is the best intervention for the nurse to initiate after the assessment is completed? • Assess for changes in the vital signs • Review the child's birth history • Provide the parents with a list of stimulating activities • Meet with a social worker to review the results 9. When caring for a child sickle cell disease, the nurse knows that the child will most likely exhibit which sign when experiencing a sickle cell crisis? • Decreased hemoglobin • Pain • Infection • Dehydration 10. The nurse is administering an oral medication to a reluctant preschool-age boy. Which intervention should the nurse implement? • Advise the parents that they will need to give the medication • Use straightforward approach with the child • Mix the medication in with the child's favorite breakfast cereal • Offer to bring the medicine back later in the day 11. The nurse is planning care for a newborn infant scheduled for a cardiac catheterization. Which occurrence poses the greatest risk for this child? • Loss of pulse proximal to the entry side of the catheter • Allergic response to the plastics in the catheter used for catheterization • Acute hemorrhage from the entry site of the catheter after the procedure • Fever associated with nausea and vomiting after the procedure 12. The school nurse is presenting a seminar to parents about child safety that focuses on prevention of spinal cord injuries. What information is most important for the nurse include in the teaching plan? • Trampoline activities of school-aged children should be supervised by adults • Protective gear to prevent neck flexion should be worn during contact sports • Seat belt and car seat laws for use in motor vehicles should be reinforced • Monkey bars should be removed from school playgrounds to reduce falls